麻醉提供者之间的无意识种族偏见对术前麻醉咨询期间的非语言沟通的影响:一项前性观察研究
Salameh S Obeidat1, Shauna Rakshe2, Rukaya Fareh3
1Department of Anesthesiology & Perioperative Medicine, Oregon Health & Science University, Portland, OR, USA. obeidat@ohsu.edu.
Journal of racial and ethnic health disparities
|August 22, 2025
概括
无意识的种族和种族偏见没有影响麻醉咨询期间的非语言沟通. 这项研究没有发现患者少数群体地位与在手术前建立非语言关系之间的显著关联.
科学领域:
- 医学研究
- 麻醉学
- 医疗公平
背景情况:
- 调查医疗机构的无意识偏见对于公平的患者护理至关重要.
- 在患者与医疗服务提供者的关系中,非语言沟通起着重要作用.
研究的目的:
- 确定无意识的种族和种族偏见是否会影响在手术前麻醉咨询期间的非语言关系建立沟通.
- 评估偏见对麻醉学中患者和提供者互动的影响.
主要方法:
- 一个学术中心的观察研究包括102名接受选择性手术的白人和少数族裔患者.
- 使用复合得分 (0-4) 评估非语言沟通 (NSC),并通过线性混合效应模型进行分析.
- 在分析中对患者和提供者特征,手术风险和咨询时间进行了控制.
主要成果:
- 非语言沟通 (NSC) 与患者少数群体状况没有显著关联 (系数估计=- 0. 07;95% CI=- 0. 29,0. 16;P=0. 57).
- 没有发现NSC和美国麻醉学会的身体状况,手术风险或麻醉咨询时间之间的联系.
结论:
- 在麻醉提供者中,无意识的种族和种族偏见与非语言沟通无关.
- 结果表明偏见没有影响非语言关系,焦虑变化或管理决策.
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